Institute of Orthopedics and Traumatology, Shaanxi College of Traditional Chinese Medicine, Xianyang, Shaanxi 712000, China.
J Tradit Chin Med. 2010 Dec;30(4):254-8. doi: 10.1016/s0254-6272(10)60052-0.
To probe into the mechanism of the Chinese herbs with functions of reinforcing kidney and supplementing qi for preventing knee osteoarthritis of the rabbit.
Totally 72 healthy Japan long-ear white rabbits, aged 4 months, were randomly divided into 6 groups, blank group (A), model group (B), high dose Chinese herb group (C), middle dose Chinese herb group (D), small dose Chinese herb group (E), aminoglucose hydrochloride capsule control group (F), 12 rabbits in each group. All the rabbits in the groups, except the group A, were fixed with plaster cast for six weeks to establish rabbit knee osteoarthritis. At the same time of modeling, the different doses of Juanbi Capsules and aminoglucose hydrochloride capsule were administrated intragastrically in the group C, D, E, F, respectively, for 4 weeks, for preventive treatment. In the group B, the rabbit was administrated intragastrically with equal volume of normal saline to the medication groups, twice each day, in the morning and the evening, and in the group A, nothing was administrated. After modeling for 6 weeks, the joint fluid was taken and TNF-alpha, IL-1 and IL-6 contents were detected with ELISA method, and the articular cartilage was taken for macroscopic and microscopic examinations.
In all the preventive treatment groups, the articular cartilage color changed to varying degrees with formation of osteophyte and bone cyst, superficial erosion on the chondral articular surface, and the cartilage defect reached to the mid layer in a part of specimens with cartilage exfoliation, but which in the extent were significantly lower than those in the model group. There were significant differences between the group A and B in TNF-alpha, IL-1 and IL-6 contents in the joint fluid (P < 0.05), indicating that the modeling is successful; and there were significant differences as group B compared with the group C,D, E, F, showing that TNF-alpha , IL-1 and IL-6 contents are decreased in all the medication groups; and significant differences between group C, D, E suggests that the increase of Chinese herb doses strengthened the effect of reducing TNF-alpha, IL-1 and IL-6 contents in joint fluid.
The Juanbi Capsule prevents osteoarthritis possibly through decreasing serum TNF-alpha, IL-1 and IL-6 contents.
探讨补肾益气中药防治兔膝骨关节炎的作用机制。
72 只健康日本大耳白兔,月龄 4 个月,随机分为 6 组,空白组(A 组)、模型组(B 组)、高剂量中药组(C 组)、中剂量中药组(D 组)、低剂量中药组(E 组)、氨基葡萄糖盐酸盐胶囊对照组(F 组),每组 12 只。除 A 组外,其余各组均采用石膏固定 6 周建立兔膝骨关节炎模型。同时,C、D、E、F 组分别给予不同剂量的蠲痹胶囊和氨基葡萄糖盐酸盐胶囊灌胃进行预防治疗,4 周。B 组给予等体积生理盐水灌胃,每日 2 次,早晚各 1 次。A 组不做任何处理。造模 6 周后,取关节液,采用 ELISA 法检测 TNF-α、IL-1、IL-6 含量,取关节软骨进行大体和显微镜检查。
所有预防治疗组关节软骨颜色均有不同程度变化,形成骨赘和骨囊,软骨关节面浅层侵蚀,部分标本软骨脱落,软骨缺损达中深层;与模型组相比,程度明显降低。关节液中 TNF-α、IL-1、IL-6 含量 A 组与 B 组比较差异有统计学意义(P<0.05),说明造模成功;B 组与 C、D、E、F 组比较,差异有统计学意义,说明各给药组关节液中 TNF-α、IL-1、IL-6 含量降低;C、D、E 组比较,差异有统计学意义,说明中药剂量增加可增强降低关节液中 TNF-α、IL-1、IL-6 含量的作用。
蠲痹胶囊可能通过降低血清 TNF-α、IL-1、IL-6 含量来预防骨关节炎。